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7 December 2018 CQI Conference call Minutes

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December 7, 2018 - CQI Conference Call Meeting Minutes

HL7 Clinical Quality Information Workgroup
December 7, 2018 – 1-3 PM EDT
Dial in: 770-657-9270 Passcode: 217663
CQI Co-chairs: Patty Craig, Floyd Eisenberg, Juliet Rubini, KP Sethi, Yan Heras
Meeting Chair: Juliet
Meeting Scribe: Yan

December 7 2018 - CQI Conference Call Attendance

Attendee Attendee's Organization Attendee's email Present
Abdul Malik Hi3 Solutions
Abrar Salam The Joint Commission
Alex Liu EPIC
Angela Flanagan Lantana Consulting Group yes
Ann Phillips NCQA
Anne Smith NCQA
Ben Ghahhari CMS
Ben Hamlin NCQA yes
Bo Borgnakke Michigan Shared Services Network
Bob Dieterle Enable Care, LLC
Bob Keyes Telligen
Brett Marquard River Rock Associates
Brian Alper EBSCO
Bryn Rhodes ESAC yes
Chana West ESAC Inc yes
Claudia Hall Mathematica yes
Crystal Kallem CK Consulting
Dan Donahue ESAC
David Sundaram-Stukel EPIC
Dipti Gandhi The Join Commission yes
Fareeda Nazeer The Joint Commission yes
Floyd Eisenberg iParsimony, LLC yes
Gay Dolin IMO yes
Hafsa Subhan The Joint Commission
Howard Strasberg Wolters Kluwer
Humberto Mandirola Biocom
iIkka Kunnamo Duodecim jilkkakunnamo@duodecim.fl
isabel Zaru-Roque ESAC Yes
James Bradley Mitre
Jamie Lehner PCPI yes
Jeff Schmitz Health eFilings
Jenny Brush ESAC
Joe Kunisch Memorial Hermann
Joe Quinn Optum
John Damore Diameter Health
Julia Skapik Cognitive Medicine yes
Juliet Rubini Mathematica Policy Research yes
Kanwarpreet Sethi Lantana Consulting Group yes
Kathleen Connor US Dept of Veterans Affairs
Kurt Allen US Dept of Veterans Affairs
Linda Michaelsen Optum
Lisa Anderson The Joint Commission yes
Lisa Nelson Life Over Time Solutions, LLC
Lizzie Charbonneau Mitre
Lorraine Constable HL7 Canada
Luke Osborne MITRE
Matthew Tiller ESAC
Mike Hunt Experian
Mia Nievera The Joint Commission
Michael O'Keefe Mitre
Mitra Biglari The Joint Commission
Myron Finseth Medtronic
Nick Radov UHC
Pamela Mahan-Rudolph Memorial pamela.mahanrudolph@memorialhermann
Patty Craig The Joint Commission yes
Paul Denning MITRE yes
Ping Jiang The Joint Commission yes
Rathore Garima
Rebeccah Baer NCQA
Rich Boyce
Rob McClure MD Partners Inc
Robert Samples ESAC Inc
Rukma Joshi ESAC Inc
Ryan Clark NCQA
Sam Sayer Mitre
Stan Rankins Telligen yes
Steve Hufnagel
Sue Kent CCF
Sweta Ladwa ESAC inc
Thomas Reese U of Utah
Thomson Kuhn ACP yes
Viet Nguyen Strata Metrics
Walter Suarez Kaiser Permanente
Yan Heras Optimum eHealth yes
Yanyan Hu The Joint Commission yes
Zach May ESAC Inc yes


Agenda Item Time Allotment
1 Roll call
5 minutes
2 QI Core STU Discussion - Bryn Rhodes
  • QI Core STU 3.2 Update is now available for two-weeks Members Only review, here is the link to the specification: An HL7 wiki comment page ( is also now available with instruction for submitting comments.
  • This STU update to the QI-Core profiles incorporates updates to the US-Core profiles, version 1.1.0. Specifically, it changes the QICore-Encounter and QICore-PractitionerRole profiles to be derived from the new USCore-Encounter and USCore-PractitionerRole profiles, rather than directly from the base resources, as well as changes the QICore-Coverage profile type element to bind to the SOP Payer value set.
  • Bryn took the group through the changes on the call. Fairly minor updates so going through as STU updates. Review period starts today.
  • Juliet asked if the group had an issue with a 1 week review period for these changes since they are relatively minor. No comment on anyone. We will check next week if anyone feels they need more time to review.
30 minutes
3 STU Comment Review
  • Comment 1686 deferred from November 16th meeting
    • This is an item in the known issues list.
    • Found persuasive with disposition noted in STU comments page.
    • Floyd made the motion to approve, Stan R seconded.
    • Paul D asked if this will also be noted in a known issues list - yes, however this is not the resolution to this comment. It will be in the eCQM known Issues section of the Formatting and Usage Wiki.
    • 21 Approved, 0 against, 0 abstain.
10 minutes
4 Sub groups for ballot content refinement
  • Potential sub groups include:
    • Composite scoring
    • DEQM and expanding that to reporting of measures
    • QI-Core and moving forward with CIMI
    • FHIR Measures
  • Bryn suggests Tuesday at 8AM MT as the first meeting for the Composite Scoring sub group. Will send an email to the group.
  • The rest of the group formation/discussion will be deferred for next week/when potential leads (viet, linda, claude etc.) can join.
10 minutes
5 Confluence is coming!
  • Confluence will replace the Wiki for agendas and the HL7 work group page for document posting
  • Please sign up for an account here
  • Draft confluence page available here
2 minutes
6 Project Updates
  • CQI Project Updates
  • Confluence link
  • Juliet requested if there were any updates. No project updates provided.
2 minutes
7 Notifications and Announcements
  • ONC's Strategy to reduce Health IT Burden - comments due to HL7 by January 4th. Link to report here
    • Juliet asked if the group was interested in submitting comments. The CDS call is going to be taking comments coming Wednesday 12/12 @ 12 PM ET (per Bryn). The group agrees that interested CQI members should join the CDS call for comment/input. This will be sent out along with the email for sub group times.
  • Meetings for the remainder of 2018 - 12/21 and 12/28 - who will be in the office?
    • Will have the 12/14 meeting. Will discuss/seek input then if we hold the 12/21 and 12/28 calls.
  • Balloting Milestones
    • October 14, 2018 – PSS deadline (submit to Steering Division and Project Management Office) - DEADLINE HAS PASSED
    • October 28, 2018 – Notice for Intent to Ballot (NIB) - DEADLINE HAS PASSED
    • November 5 – December 6 – Sign up period to be included in a ballot consensus group - OPEN
    • November 11, 2018 – Preview of artifacts and topics to be included in the ballot with CQI - DEADLINE HAS PASSED
    • November 18, 2018 – Preview and content deadline (V3) - DEADLINE HAS PASSED
    • November 25, 2018 – Final content available for CQI WG review [consistent with FHIR Core Substantive Change Freeze (must have completed ballot reconciliation if applicable) - DEADLINE HAS PASSED
    • December 1, 2018 – Final CQI approval of content and submission (consistent with FHIR code freeze and QA, V3 Final content due dates) - DEADLINE HAS PASSED
    • December 7, 2018 – January 7, 2019 – January ballot open for voting - OPENS today